Presentation title and subjectGP guide to using ICE to make a colorectal two week wait

referral

Dec 14

Rectal bleeding with CIBH to looser stool >6 weeks age >40

AGE TEST60-75 colonoscopy

75-85 CTC

>85 CT with extended oral prep

CIBH to loose/more frequent stools without rectal bleeding >6 weeks age >40

Iron Deficiency anaemia OGD

Rectal bleeding without anal symptoms >6 weeks aged 60 or >

Abdominal or rectal mass

Flexible sigmoidoscopy with PO4 enema

Clinic via Choose and Book

and

2WW Symptoms and diagnostic criteria

Presentation title and subjectAfter selecting your patient then you start by selecting a new request

Presentation title and subjectThe book icon will take you to a copy of the guidance on which diagnostic test to pick

These tests are all for colorectal pathways and cant be used for non colorectal 2ww referrals

Click on the relevant test that you want to order, and then it will bring up a text box

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The system will ask you a series of questions to validate the request. This is a requirement of the endoscopy accreditation (JAG) and will help the endoscopy unit to plan for the necessary scope

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The system requires you to make a selection. Therefore if the patient doesn’t have any of these contraindications then you need to clink “None of the above”

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Each box asks you the same questions that are included within the current 2WW form. Therefore it is asking for you to confirm the symptoms.

It will go on to ask you a small number of extra questions. If the answer is outside of the scope of the pathway then it will inform you that the patient is not suitable and recommend another test.

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Based on your answer to this question then the system will recommend the suitable bowel prep for the patients to be dispensed by NBT

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It is important to note that colonoscopies and CTCs need patients to have bowel prep. Therefore you are required to confirm that the patient is medically fit to receive the bowel prep. NBT will then dispense the prep to the patients.

Presentation title and subjectThis page and the following three are series of questions that are key to help endoscopy effectively plan that patients scope. Please answer as fully as possible

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NBT will arrange for the test to take place within two weeks of you clicking “continue with request”

The trust will contact you with the outcome of the diagnostic within 48 hours of it being conducted, but is aiming for 24. If the patient has an abnormality then NBT will pick up the care. If not then you will be provided with advice and guidance with the patient discharged back to your care.